Amendment 0002_15BCTS23Q00000018.pdf
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15BCTS23Q00000018/0002 Page 1 of 71
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE PAGE OF PAGES
1 71
2. AMENDMENT/MODIFICATION NUMBER
3. EFFECTIVE DATE
06/08/2023
4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)
BCTSCODE
Federal Bureau of Prisons Community Treatment Services Contracting 320 First Street NW Suite 901-5 Washington, DC 20534
Paul Clark
(O) (202) 353-0382 p5clark@bop.gov
6. ISSUED BY CODE7. ADMINISTERED BY (If other than Item 6)
9A. AMENDMENT OF SOLICITATION NUMBER
15BCTS23Q00000018
CODE FACILITY CODE
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code) (X)
X 9B. DATED (SEE ITEM 11)
05/16/2023
10A. MODIFICATION OF CONTRACT/ORDER
NUMBER
10B. DATED (SEE ITEM 13)
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
X XThe above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing items 8 and 15, and returning __1__copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. ACCOUNTING AND APPROPRIATION DATA (If required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.
IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.
CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT
ORDER NUMBER IN ITEM 10A.
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor is not, is required to sign this document and return _______ copies to the issuing office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
This Amendment 2 is issued to extend the solicitation period until June 23, 2023 at 2:00pm ET.
THIS AMENDMENT EXTENDS THE SOLICITATION CLOSING DATE/TIME TO: 06/23/2023 - 02:00 ET US/Eastern
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
Paul Clark Contracting Officer
(Signature of person authorized to sign)
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED
By (Signature of Contracting Officer)
16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
06/08/2023 Previous edition unusable STANDARD FORM 30 (REV. 11/2016)
Prescribed by GSA FAR (48 CFR) 53.243
15BCTS23Q00000018/0002 Page 2 of 71
Table of Contents
Section Description Page Number
Solicitation/Contract Form 1 Commodity or Services Schedule 2 Contract Clauses
52.21-603-70 Contracting Officer's Representative (COR) (June 2012) DOJ-05 Security of Department Information and Systems (APR 2015) 52.217-8 Option to Extend Services (Nov 1999) 52.232-18 Availability Of Funds (Apr 1984) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)
BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR
2011) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) DOJ-01 Whistleblower Information Distribution (Oct 2021) DOJ-03 Personnel Security Requirements For Contractor Employees (Nov 2021); (Alt. I) -- Classified Information -- Cleared Contractors 52.216-22 Indefinite Quantity (Oct 1995) DOJ-08 Continuing Contract Performance During a Pandemic Influenza or other National Emergency
(OCT 2007)
DOJ-02 Contractor Privacy Requirements (JAN 2022) 52.216-18 Ordering (Aug 2020) 52.216-19 Order Limitations (Oct 1995) 52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders- Commercial Products and Commercial Services (Mar 2023) 52.242-15 Stop-Work Order (Aug 1989) 52.203-3 Gratuities (Apr 1984) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.253-1 Computer Generated Forms (Jan 1991) 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (Dec 2022) 52.203-12 Limitation On Payments to Influence Certain Federal Transactions (Jun 2020) 52.242-13 Bankruptcy (July 1995) 52.224-1 Privacy Act Notification (Apr 1984) 52.224-2 Privacy Act (Apr 1984) 52.204-12 Unique Entity Identifier Maintenance (Oct 2016) 52.204-13 System for Award Management Maintenance (Oct 2018)
3 List of Attachments 4 Solicitation Provisions
52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.216-1 Type of Contract (Apr 1984) 52.217-5 Evaluation of Options (July 1990) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Dec 2019) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Dec 2019) 52.212-3 Offeror Representations and Certifications-Commercial Products and Commercial Services (Dec 2022) 52.204-16 Commercial and Government Entity Code Reporting (Jul 2016) 52.204-22 Alternative Line Item Proposal (Jan 2017) 52.204-7 System for Award Management (Oct 2018) 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (Mar 2023) 52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation (Jan 2017)
15BCTS23Q00000018/0002 Page 3 of 71
Section 1 - Commodity or Services Schedule
Substance Use, Mental Health and Sex Offender Treatment Services in Youngstown, OH.
Firm Fixed Price
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0001 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0002 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0003 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 60
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0004 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0005 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
15BCTS23Q00000018/0002 Page 4 of 71
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0006 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0007 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Base Period: Date of Award to 12 Months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0008 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Base Period: Date of Award to 12 Months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0009 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;
35 Units Estimated Maximum Base Period: Date of Award to 12 Months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0010 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0011 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous :
15BCTS23Q00000018/0002 Page 5 of 71
Change: 0
Current : 10
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0012 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0013 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 20
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0014 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0015 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0016 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0017 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 5
15BCTS23Q00000018/0002 Page 6 of 71
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0018 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0019 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0020 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0021 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0022 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Base Period: Date of award - 12 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0023 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 5
Change: 0
15BCTS23Q00000018/0002 Page 7 of 71
QUANTITY
UNIT UNIT PRICE AMOUNT
0024 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0025 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous :
Change: 0
Current : 60
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0026 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0027 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0028 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0029 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 1: 13 months to 24 months
Previous : 2 EA $________ $_________________
15BCTS23Q00000018/0002 Page 8 of 71
PSC: G004 Change: 0
Current : 2
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0030 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0031 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;
35 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0032 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0033 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0034 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
15BCTS23Q00000018/0002 Page 9 of 71
0035 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous :
Change: 0
Current : 20
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0036 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0037 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0038 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0039 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0040 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0041 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Option Year 1: 13 months to 24 months
Previous : 1 EA $________ $_________________
15BCTS23Q00000018/0002 Page 10 of 71
Current : 1
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0042 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0043 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0044 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 1: 13 months to 24 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0045 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0046 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0047 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous :
15BCTS23Q00000018/0002 Page 11 of 71
Current : 60
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0048 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0049 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0050 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0051 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0052 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0053 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;
35 Units Estimated Maximum Option Year 2: 25 months to 36 months
Previous : 2 EA $________ $_________________
15BCTS23Q00000018/0002 Page 12 of 71
Current : 2
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0054 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0055 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0056 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0057 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous :
Change: 0
Current : 20
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0058 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS23Q00000018/0002 Page 13 of 71
0059 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0060 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0061 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0062 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0063 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0064 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0065 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 4
15BCTS23Q00000018/0002 Page 14 of 71
Current : 4
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0066 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 2: 25 months to 36 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0067 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0068 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0069 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous :
Change: 0
Current : 60
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0070 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0071 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 5
15BCTS23Q00000018/0002 Page 15 of 71
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0072 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0073 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0074 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0075 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;
35 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0076 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS23Q00000018/0002 Page 16 of 71
0077 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0078 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0079 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous :
Change: 0
Current : 20
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0080 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0081 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0082 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS23Q00000018/0002 Page 17 of 71
0083 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0084 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0085 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0086 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0087 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0088 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 3: 37 months to 48 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0089 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 5
15BCTS23Q00000018/0002 Page 18 of 71
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0090 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0091 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous :
Change: 0
Current : 60
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0092 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0093 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0094 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS23Q00000018/0002 Page 19 of 71
0095 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0096 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0097 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;
35 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0098 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0099 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0100 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS23Q00000018/0002 Page 20 of 71
0101 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous :
Change: 0
Current : 20
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0102 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0103 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0104 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0105 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0106 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0107 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Option Year 4: 49 months to 60 months
Previous : 1 EA $________ $_________________
15BCTS23Q00000018/0002 Page 21 of 71
Current : 1
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0108 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0109 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0110 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 4: 49 months to 60 months
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0111 Substance Use Disorder Treatment Planning and Follow-up (2001) 3 Units Guaranteed Minimum; 38 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0112 Substance Use Disorder Intake Screening (2005) 1 Unit Guaranteed Minimum; 13 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0113 Substance Use Disorder Individual Counseling (2010) 30 Units Guaranteed Minimum; 600 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous :
15BCTS23Q00000018/0002 Page 22 of 71
Current : 30
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0114 Substance Use Disorder Intake Assessment & Report (2011) 5 Units Guaranteed Minimum; 38 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0115 Co-occurring Intake Assessment & Report (2012) 3 Units Guaranteed Minimum; 25 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0116 Substance Use Disorder Group Counseling (2020) 60 Units Guaranteed Minimum; 1980 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 60
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0117 Substance Use Disorder Relationship and Parenting Counseling (2030) 1 Unit Guaranteed Minimum; 50 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0118 Mental Health Treatment Planning and Follow-up (5001) 3 Units Guaranteed Minimum; 25 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0119 Mental Health Intake Screening (5005) 1 Unit Guaranteed Minimum;
18 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 1
Change: 0
Current : 1
15BCTS23Q00000018/0002 Page 23 of 71
QUANTITY
UNIT UNIT PRICE AMOUNT
0120 Mental Health Intake Assessment & Report (5011) 5 Units Guaranteed Minimum; 38 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0121 Psychiatric Evaluation & Report (5030) 5 Units Guaranteed Minimum; 38 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0122 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 5 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0123 Mental Health Individual Counseling (6010) 10 Units Guaranteed Minimum; 640 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0124 Mental Health Group Counseling (6020) 2 Units Guaranteed Minimum; 50 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0125 Mental Health Relationship and Parenting Counseling (6031) 1 Unit Guaranteed Minimum; 320 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 1
Change: 0
15BCTS23Q00000018/0002 Page 24 of 71
QUANTITY
UNIT UNIT PRICE AMOUNT
0126 MH-Medication Monitoring and Report (6051) 3 Units Guaranteed Minimum; 100 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0127 Sex Offender Specific Intake Assessment & Report (5012) 3 Units Guaranteed Minimum; 13 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0128 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 13 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0129 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0130 Sex Offender Individual Counseling (6012) 1 Unit Guaranteed Minimum; 160 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 1
Change: 0
Current : 1
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0131 Sex Offender Group Counseling (6022) 2 Units Guaranteed Minimum; 480 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS23Q00000018/0002 Page 25 of 71
0132 Sex Offender Relationship and Parenting Counseling (6032) 1 Unit Guaranteed Minimum; 50 Units Estimated Maximum Potential Six Month Extension
PSC: G004
Previous : 1
Change: 0
Section 2 - Contract Clauses
A.1 ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions-Commercial Products and Commercial Services (Dec 2022)
The terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR clause 52.212-4.
Clauses By Reference
52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov
Clause Title Fill-ins (if applicable)
52.242-15 Stop-Work Order (Aug 1989)
52.203-3 Gratuities (Apr 1984)
52.232-40 Providing Accelerated Payments to Small Business Subcontractors
(Mar 2023)
52.253-1 Computer Generated Forms (Jan 1991)
52.212-4 Contract Terms and Conditions-Commercial Products and Commercial
Services (Dec 2022)
52.203-12 Limitation On Payments to Influence Certain Federal Transactions
(Jun 2020)
52.242-13 Bankruptcy (July 1995)
52.224-1 Privacy Act Notification (Apr 1984)
52.224-2 Privacy Act (Apr 1984)
52.204-12 Unique Entity Identifier Maintenance (Oct 2016)
15BCTS23Q00000018/0002 Page 26 of 71
Clause Title Fill-ins (if applicable)
52.204-13 System for Award Management Maintenance (Oct 2018)
Clauses By Full Text
52.252-2 Clauses Incorporated by Reference (Feb 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/ these address(es):
https://www.acquisition.gov/browse/index/far [Insert one or more Internet addresses]
(End of clause)
52.21-603-70 Contracting Officer's Representative (COR) (June 2012)
(a)Sandra Hargeshelmer, SCTC, 215-521-7470, Nicole Foster, CTC, 215-521-7472, Cynthia Benik CTOS, 215-521-7499, Ashanti Black, CTOS, 215-521-7491, Sabina Medyinsky, CTOS, 215-5217461, Ewelina Rozkuszka, CTOS, 215-521-7446, Jeanine Stank CTOS, 215-521-7471, Mayelin Ugarte MA, 215-521-7475 ,[Title] , 200 Chesnut Street, 7th Fl., Philadelphia, PA. 19106,[Area Code and Telephone Number], is hereby designated as the Contracting Officer's Representative (COR) under this contract.
(b) The COR is responsible, as applicable, for: receiving all deliverables, inspecting and accepting the supplies or services provide hereunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the contractor effort, fills in details or otherwise serves to accomplish the contractual Scope of Work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.
(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If as a result of technical discussions it is desirable to alter/change contractual obligations or the Scope of Work, the Contracting Officer shall issue such changes.
DOJ-05 Security of Department Information and Systems (APR 2015)
I. Applicability to Contractors and Subcontractors
This clause applies to all contractors and subcontractors, including cloud service providers (“CSPs”), and personnel of contractors, subcontractors, and CSPs (hereinafter collectively, “Contractor”) that may access, collect, store, process, maintain, use, share, retrieve, disseminate, transmit, or dispose of DOJ Information. It establishes and implements specific DOJ requirements applicable to this Contract. The requirements established herein are in addition to those required by the Federal Acquisition Regulation (“FAR”), including FAR 11.002(g) and 52.239-1, the Privacy Act of 1974, and any other applicable laws, mandates, Procurement Guidance Documents, and Executive Orders pertaining to the development and operation of Information Systems and the protection of Government Information. This clause does not alter or diminish any existing rights, obligation or liability under any other civil and/or criminal law, rule, regulation or mandate.
II. General Definitions
The following general definitions apply to this clause. Specific definitions also apply as set forth in other paragraphs.
15BCTS23Q00000018/0002 Page 27 of 71
A. Information means any communication or representation of knowledge such as facts, data, or opinions, in any form or medium, including textual, numerical, graphic, cartographic, narrative, or audiovisual. Information includes information in an electronic format that allows it be stored, retrieved or transmitted, also referred to as “data,” and “personally identifiable information” (“PII”), regardless of form.
B. Personally Identifiable Information (or PII) means any information about an individual maintained by an agency, including, but not limited to, information related to education, financial transactions, medical history, and criminal or employment history and information, which can be used to distinguish or trace an individual's identity, such as his or her name, social security number, date and place of birth, mother's maiden name, biometric records, etc., including any other personal information which is linked or linkable to an individual.
C. DOJ Information means any Information that is owned, produced, controlled, protected by, or otherwise within the custody or responsibility of the DOJ, including, without limitation, Information related to DOJ programs or personnel. It includes, without limitation, Information (1) provided by or generated for the DOJ, (2) managed or acquired by Contractor for the DOJ in connection with the performance of the contract, and/or (3) acquired in order to perform the contract.
D. Information System means any resources, or set of resources organized for accessing, collecting, storing, processing, maintaining, using, sharing, retrieving, disseminating, transmitting, or disposing of (hereinafter collectively, “processing, storing, or transmitting”) Information.
E. Covered Information System means any information system used for, involved with, or allowing, the processing, storing, or transmitting of DOJ Information.
III. Confidentiality and Non-disclosure of DOJ Information
A. Preliminary and…
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